Lyon Victoria Moore
NPI #1063920437 in Forest Hills, New York
Provider Information
- NPI Number
- 1063920437
- Entity Type
- Individual
- Name
- Lyon Victoria Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 18, 2018
- Last Updated
- Jan 18, 2018
Practice Location
- Address
- 7000 AUSTIN ST STE 200
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-4739
- Phone
- (718) 762-7633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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